Wednesday, November 5, 2008

Focusing on the fit ONLY

Its becoming clear that i need to be constantly reminding myself that i am looking at the fit between new grads working in acute care settings - and not getting side tracked on the "interesting things to me"

Some of the things that are in my mind that i want to try and get out around the fit........as i am in the middle of analysis


Just wanting to pull together =The experiences/knowledge and skills the new grad brings with them that influences the initial fit into acute care.

"Different therapists come in with different needs"

"There exposure to different things as a student is really a key thing"

"So it depends on their past experiences a lot" - as to what role orientation plays

For example
"Some may have done a placement in orthopaedics and not have to worry about learning about different transfers. Some may have done a community placement and are well use to equipment. Some have done a mental health placement and the whole cognition thing is something that they are more aware of".

"There’s not replacement for experience, I think new grads perhaps need to relax and the fact that they are new grads, and a lot of the learning with experience"

"I suppose in an ideal world that transition, like having a placement and having a student opportunity in an acute or physical setting. Any job you choose to go into - if you’ve already had a student placement your going to be better to transition"

"You can know a place, but if you don’t have those clinical reasoning skills its still going to be difficult"

Previous experience in acute - transition is much shorter

For example
"We’ve had someone, because they’ve had placements here as well, they’ve had a couple of student placements within the DHB, they settle in within 2 or 3 weeks".

"If the new grad has been lucky enough to have a placement in a DHB or an acute setting somewhere. Often that transition is much easier as it would if you were looking at…if your just been in mental health and you go into mental health -that transition is made easy. So I think that that makes a big difference. I think they definitely struggle if they have had no hospital experience, and they come into a hospital environment as a new grad it can be very overwhelming, there’s just that business, you have to learn those prioritisation skills quickly. How you move a patient when they may not have physically moved somebody before. It really depends on the person, we’ve had dome new grads who have fitted in with in a couple of days, and we’ve had some that have taken months to settle into the hospital environment, and its just the speed and the pressure that it has".

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